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Pre-meeting with the School Usually involves the assistant principal, nurse, roster chair Informational folder distributed Explanation by health department staff of what occurs

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Pre-meeting with the School (cont’d) Communicate our needs to make screening work: –Commitment to see at least 300 students per day in classes of approximately 60 –A presentation room in proximity to rest rooms –Space to process specimens Tentative dates for screening set, as well as dates for the delivery of supplies, brochures, etc. Explanation of our need return to treat and see additional students and identification of a process and tentative date(s)

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Screening Begins Presentation Bags Explanation of the process –All students receive a bag –All students complete the paperwork –All students go the bathroom –All bags must be returned Based upon the information in the presentation, each student makes a decision, on their own, whether or not to be screened

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During Screening Specimens processed in separate room –Sort out empty specimen cups from those with urine –If time permits, aliquot specimens and create lab slips –Deal with other issues as they arise

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At the close of the day Return to the Health Department with specimens –Any remaining specimens are aliquoted and/or lab slips created –Specimens are submitted to the lab –Information form with a copy of lab slip attached are submitted for data entry

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In the days following Data entry of information slips with “pending” results indicated As lab results are received, pending results changed to positive or negative Test results given to students by telephone

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Treatment List of students to be seen submitted to nurse 1 day prior to the arrival of medical staff Students issued call slips or called from class Oral medications administered Counseling, instructions for follow-up exams and partner referral cards given

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Treatment For students not treated at school, we continue to work through school nurse to refer for treatment Use the “best way to contact” information

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In summary…. Process takes a solid commitment from many, including: –School personnel –Health Department screening staff –All other staff for data entry –Staff giving results –Clinical staff to give treatment –Laboratory staff to process tests –Administrative staff But, most importantly…it takes the political will of those who have the power to make it happen